Senior Workers' Compensation Claims Adjuster

Argo Group is a leader in specialty insurance with a vibrant culture built on respect, equality, wellness and opportunity. We’re an innovative organization that’s small enough to be agile and big enough to make a difference in our industry.  

Our collaborative workplace is continuously evolving to ensure all employees feel: 

• Comfortable bringing their whole selves to work. 
• Confident that they will be treated respectfully. 
• Recognized for their performance and provided with equal opportunities to succeed. 

At Argo, skill meets opportunity. If you’re wired to raise your hand and ask, “Where can I help?”, you’ll thrive with us. 

At Argo Group, you can make a direct impact while working in an organization small enough to be agile and big enough to make a difference. We ask you to bring a growth mindset and a desire to share your unique perspective with our dynamic teams.

Argo Group, a global multiline underwriter of specialty insurance and reinsurance products in the property and casualty market, offers a comprehensive line of high-quality products and services designed to meet the unique coverage and claims-handling needs of our clients. We foster an inclusive culture that embraces diversity and design thinking, relies on innovation and agility, promotes collaborative service delivery, frequent, integrated communication, and authentic recognition of excellence.
 

A Brief Overview

We are looking for a highly capable Senior Workers’ Compensation Claims Adjuster to join our Workers’ Compensation Claims team and work from any US Argo office.  We work together in the office five days a week in order to strengthen our culture, build team connections, and drive profitability. The position reports to a manager based in North Carolina.  This role will be adjudicating workers’ compensation claims in the jurisdictions of AL, DC, FL, GA, KY, ME, MS, NC, NH, SC, and TN and contribute to providing superb results for our clients.

The primary duties and responsibilities of the role are:

• Working under limited technical direction and within broad limits and authority, adjudicate highly complex indemnity workers’ compensation claims on assignments reflecting potentially with significant impact on departmental results.
• Solving difficult problems that requires an understanding of a broader set of issues.
• Reporting to senior management and underwriters on claims trends and developments.
• Investigating claims promptly and thoroughly 
• Analyzing claims forms, policies and endorsements, client instructions, and other records to determine whether the loss falls within the policy coverage.
• Investigating claims promptly and thoroughly, including interviewing all involved parties. 
• Managing claims in litigation 
• Managing diary timely and complete tasks to ensure that cases move to the best financial outcome and timely resolution.   
• Properly setting claim reserves. 
• Identifying, assigning, and coordinating the assignment and coordination of expertise resources to assist in case resolution. 
• Preparing reports for file documentation 
• Applying creative solutions which result in the best financial outcome. 
• Negotiating settlements 
• Processing mail and prioritizing workload.  
• Completing telephone calls and written correspondence to/from various parties (insured, claimant, etc.). 
• Having an appreciation and passion for strong claim management.

 

Core qualifications and requirements for this position include:

• Must have good business acumen (i.e. understand how an insurance company works and makes money, including how this role impacts both Argo Group and our customers’ ability to be profitable).
• An advanced knowledge of workers’ compensation claims through:
  • A minimum of five years’ experience adjudicating workers’ compensation claims in the jurisdictions of AL, DC, FL, GA, KY, ME, MS, NC, NH, SC, and/or TN . 
  • Bachelor’s degree from an accredited university required.  Two or more insurance designations or four additional years of related experience adjudicating workers’ compensation claims beyond the minimum experience required above may be substituted in lieu of a degree.
  • Must be licensed in either FL, RI, or TX and have ability to quickly obtain a license in each jurisdiction requiring a license to adjudicate first party claims.

• Must have excellent communication skills an